NPI age
4 years
Enumerated 2021-09-09
● Active Type 2 · Organization
Kingdom Mobile Lab Services Llc
Kingdom Mobile Lab Services Llc is 1 of 307 technician, pathology organizations in Georgia.
Primary specialty
Technician, Pathology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCloud
Owner
Last NPPES update
2021-09-09
Source: monthly bulk 2026-05
How this organization compares
Across 307 active technician, pathology providers in Georgia.
NPI age
4 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
7674 Mountain Creek Way
Douglasville, GA 301343783
Mailing address
7674 Mountain Creek Way
Douglasville, GA 301343783
Authorized official
Keesha M McCloud
Owner
📞 6783682745
Specialties
-
Technician, Pathology PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kingdom Mobile Lab Services LLC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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